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康复期血浆捐献者中SARS-CoV-2 IgG抗体及其临床相关性:印度的经验

SARS-CoV-2 IgG Antibody and its Clinical Correlates in Convalescent Plasma Donors: An Indian Experience.

作者信息

Kumar Pvsn Kiran, Banerjee Mithu, Bajpayee Archana, Mandal Saptarishi, Mitra Prasenjit, Sharma Praveen, Misra Sanjeev, Bhardwaj Pankaj

机构信息

Department of Biochemistry, All India Institute of Medical Sciences, Basni Phase -2 Jodhpur, Rajasthan India.

Deparment of Transfusion Medicine, All India Institute of Medical Sciences, Jodhpur, India.

出版信息

Indian J Clin Biochem. 2022 Oct;37(4):423-431. doi: 10.1007/s12291-021-01012-w. Epub 2021 Nov 18.

Abstract

SARS-CoV-2, a novel coronavirus, emerged a year ago in Wuhan, China causing a new pandemic. Convalescent plasma therapy has been applied previously to many infectious diseases and has shown a successful result. This study was planned to assess the Anti-SARS-CoV-2 IgG antibody levels in convalescent COVID-19 patients. In this study, serum samples from 210 persons infected by SARS-CoV-2, treated and discharged from the hospital were collected. Anti-SARS-CoV-2 IgG antibody levels were detected using a chemiluminescence assay. A directory of convalescent plasma donors was created. Anti-SARS-CoV-2 IgG antibody levels vary substantially in the study population with a mean of 51.2 AU/ml. On comparing the serum anti-SARS-CoV-2 IgG antibody levels, a significant difference was observed between the subjects who had cough and those who did not (p = 0.0004). Similar significant findings were found with total protein and globulin levels on comparing the individuals with different antibody status (positive, negative and equivocal). The middle-aged and old age people had high Ab titres compared to younger individuals and the duration of the hospital stay was found to be positively correlated with the anti-SARS-CoV-2 IgG antibody. Cough, age and duration of the hospital stay was found to play a significant role in the development of Anti-SARS-CoV-2 IgG levels. Further, the data suggests that blood groups have a lesser impact on the severity of disease and the development of antibodies. Patients who present with the cough are more likely to develop antibodies.

摘要

新型冠状病毒SARS-CoV-2于一年前在中国武汉出现,引发了一场新的大流行。恢复期血浆疗法此前已应用于多种传染病,并取得了成功。本研究旨在评估COVID-19康复患者体内抗SARS-CoV-2 IgG抗体水平。在本研究中,收集了210名感染SARS-CoV-2并经治疗出院的患者的血清样本。采用化学发光法检测抗SARS-CoV-2 IgG抗体水平。建立了恢复期血浆供者名录。研究人群中抗SARS-CoV-2 IgG抗体水平差异很大,平均为51.2 AU/ml。比较血清抗SARS-CoV-2 IgG抗体水平时,咳嗽患者与未咳嗽患者之间存在显著差异(p = 0.0004)。比较不同抗体状态(阳性、阴性和可疑)的个体时,总蛋白和球蛋白水平也有类似的显著发现。与年轻人相比,中年人和老年人的抗体滴度较高,且住院时间与抗SARS-CoV-2 IgG抗体呈正相关。发现咳嗽、年龄和住院时间对抗SARS-CoV-2 IgG水平的产生有显著影响。此外,数据表明血型对疾病严重程度和抗体产生的影响较小。出现咳嗽的患者更有可能产生抗体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe7/9573830/ef312a9659fa/12291_2021_1012_Fig1_HTML.jpg

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